论曰伤寒呕哕者，病在足阳明胃之经也，足阳明之脉，厥而上行，即令人气逆。气逆故
呕哕，仲景云，呕多虽有阳明证，慎不可下，盖为此也。又伤寒呕哕，有因热结胸中，邪气
之高所致，有因吐下后，虚热在内，及饮水停积所致。证既不同，治亦随异，不可不察。
治伤寒后胃气逆冷，食已呕哕，即欲吐。半夏汤方
半夏（一两汤洗七遍炒干） 白茯苓（去黑皮一两） 枳壳（去瓤麸炒） 人参（各半
两） 白术（一两半
上五味。粗捣筛，每服三钱匕，水一盏，生姜一分拍碎，煎至七分，去滓温服日二。
治伤寒呕哕不止。橘皮汤方
陈橘皮（汤浸去白炒） 前胡（去芦头） 甘草（炙锉各一两） 白术（半两）
上四味，粗捣筛，每服三钱匕，水一盏，生姜半分拍碎，煎至七分，去滓温服日二。
治伤寒后胸膈气满。呕哕不纳饮食。茯苓汤方
白茯苓（去黑皮一两） 陈橘皮（汤浸去白炒） 枳实（去瓤麸炒各半两） 人参 白
术五味子（各三分）
上七味，粗捣筛，每服五钱匕，水一盏半，生姜半分拍碎，枣三枚劈破，煎至一盏，去
滓温服。
治伤寒后服冷药过多，胃寒呕哕，不下饮食。人参汤方
人参 白术 白茯苓（去黑皮） 附子（炮裂去皮脐） 陈橘皮（汤浸去白炒各一两） 桂
（去粗皮） 干姜（炮各半两） 丁香（一分）
上八味，粗捣筛，每服五钱匕，水一盏半，生姜半分拍碎，粳米半匙，煎至一盏，去滓
温服，不拘时。
治伤寒呕哕不止，饮食不下。藿香汤方
藿香叶（一两） 丁香 白豆蔻（去皮各一分） 高良姜（炒） 陈橘皮（汤浸去白焙
各半两）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分去滓，食前热呷服。
治伤寒脾胃虚冷，呕哕不思饮食。浓朴汤方
浓朴（去粗皮生姜汁炙） 人参（各一两） 枇杷叶（炙拭去毛） 肉豆蔻（去壳各半
两） 白茯苓（去黑皮一两半）
上五味，粗捣筛。每服三钱匕，水一盏，生姜三片，煎至七分，去滓温服，空心食前。
治伤寒呕哕不止，胸满烦躁。藿香人参汤方
藿香叶（三分） 人参（一两） 陈橘皮（汤浸去白焙） 甘草（炙锉各半两）
上四味，粗捣筛，每服三钱匕，水一盏，入生姜三片，同煎至六分，去滓温服，不拘时。
治伤寒四五日，呕哕有痰，胸膈不利。人参丸方
人参 浓朴（去粗皮生姜汁炙） 白茯苓（去黑皮各一两） 半夏（汤洗七遍二两）
上四味，捣罗为末，用姜汁作面糊，丸如梧桐子大，每服三十丸，生姜汤下。
治伤寒，时多呕哕不止。定气散方
高良姜（半两） 草豆蔻（去皮一枚） 甘草（炙） 木香（炮各一分）
上四味，用酒浸纸裹，煨令香熟，焙干捣罗为散，每服二钱匕，醋汤调下。
治伤寒哕逆呕吐，虚气妄行。通正散方
丁香 干柿蒂（各一两） 莲子肉（五十枚去心）
上三味，捣罗为细散，每服二钱匕，温酒调下，饭饮亦得。
治伤寒呕哕不止，或吐酸水。丁香汤方
丁香（三分） 浓朴（去粗皮生姜汁炙） 干姜（炮各一两） 高良姜（一分）
上四味，粗捣筛，每服三钱匕，水一盏，煎至五分，去滓热服，不拘时，兼治一切冷气
吐逆。
治伤寒呕哕不止。柿蒂汤方
干柿蒂（七枚） 白梅（三枚）
上二味，粗捣筛，只作一服，用水一盏，煎至半盏，去滓温服，不拘时。
治伤寒呕哕，日夜不止。荜澄茄汤方
荜澄茄 高良姜（各三分）
上二味，粗捣筛，每服三钱匕，水一盏，煎十余沸，入醋少许，搅匀去滓，热服不拘时。
治伤寒瘥后，呕哕不止者，有余热在胃脘也。竹叶加生姜汤方
淡竹叶（半把） 石膏（碎四两） 半夏（汤洗七遍三分） 麦门冬（去心焙二两） 甘
草（炙锉） 人参（各半两）
上六味，粗捣筛，每服五钱匕，水一盏半，入粳米半匙，生姜一分切，煎至八分，去滓
温服。
治伤寒少阴证呕哕者。四逆汤加生姜方
甘草（炙锉一两） 干姜（炮三分） 附子（炮裂去皮脐半枚） 生姜（切焙一两半）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服。
治伤寒脾胃不和，呕逆寒热，和气。五积散方
苍术（二十两） 桔梗（锉炒十两） 陈橘皮（汤浸去白焙六两） 白芷 甘草（炙锉
各三两） 当归（切焙二两） 芎 （一两半） 芍药 白茯苓（去黑皮） 半夏（汤洗七
遍各一两） 麻黄（去根节春夏二两秋冬三两） 干姜（炮春夏一两半秋冬二两） 枳壳（麸
炒去瓤四两以下三物别捣） 桂（去粗皮春夏三两秋冬四两） 浓朴（去粗皮生姜汁炙二两）
上一十五味，将前十二味，粗捣筛，分作六分，大锅内微火炒令香熟即止，不可过焦。
取出净板床上候冷，入后三物和之，和气、每服三钱匕，水一盏，入姜枣，煎至六分，去滓
温服，伤寒、手足逆冷，虚汗不止，脉沉细、面青、呕逆。加顺元散一钱匕，同煎热服，产
妇、经三两日不生，或胎死腹中，或气乏委顿，产道干涩，加顺元散，水七分，酒三分、同
煎，相继两服，气血和顺即产，胎死者、不过三服当下。其顺元散多少，量产母虚实，伤寒、
发
治伤寒呕哕心腹冷疼，痰逆不消。高良姜汤方
高良姜 甘草炙（锉各半两） 桂（去粗皮） 半夏（汤洗七遍炒黄各一两）
上四味，粗捣筛，每服三钱匕，水一盏，入生姜三片，同煎至五分，去滓食前温服，兼
治一切冷气，心腹疼痛。
Discourse states: Vomiting and hiccups caused by Shanghan (Cold Damage) are diseases located in the Foot-Yangming Stomach Meridian. The meridian of the Foot-Yangming ascends from below; when it reverses upward, it causes Qi rebellion in the person. Due to Qi rebellion, vomiting and hiccups occur. Zhang Zhongjing stated, "If there is frequent vomiting, even if there are Yangming syndrome manifestations, one must be cautious and absolutely not use purgation," which is precisely for this reason. Furthermore, vomiting and hiccups in Shanghan may arise because heat pathogens are knotted in the chest, causing high-positioned pathogenic factors; or they may result from deficiency-heat remaining internally after emesis or purgation treatments, as well as from stagnant water accumulation. Since the syndromes differ, the treatments vary accordingly, and careful differentiation is essential.
Formula for treating post-Shanghan stomach Qi rebellion with cold, where vomiting and hiccups occur immediately after eating, accompanied by a desire to vomit: Banxia Tang (Pinellia Decoction).
Ingredients: Ban Xia (Pinelliae Rhizoma, 1 liang, washed seven times in hot water, stir-fried dry), Bai Fu Ling (Poria, 1 liang, black skin removed), Zhi Ke (Aurantii Fructus, pith removed, stir-fried with bran), Ren Shen (Ginseng Radix et Rhizoma, each 0.5 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water and 1 fen of smashed Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to 0.7 sheng. Strain and take warm, twice daily.
Formula for treating persistent vomiting and hiccups in Shanghan: Ju Pi Tang (Tangerine Peel Decoction).
Ingredients: Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, stir-fried), Qian Hu (Peucedani Radix, radicle removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, each 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water and 0.5 fen of smashed Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to 0.7 sheng. Strain and take warm, twice daily.
Formula for treating post-Shanghan fullness of Qi in the chest and diaphragm, with vomiting and hiccups preventing food intake: Fuling Tang (Poria Decoction).
Ingredients: Bai Fu Ling (Poria, 1 liang, black skin removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, stir-fried), Zhi Shi (Aurantii Fructus, pith removed, stir-fried with bran, each 0.5 liang), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Wu Wei Zi (Schisandrae Chinensis Fructus, each 0.3 fen).
The above seven herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted with 1.5 sheng of water, 0.5 fen of smashed Sheng Jiang (Zingiberis Rhizoma Recens), and three cracked Da Zao (Jujubae Fructus) until reduced to 1 sheng. Strain and take warm.
Formula for treating post-Shanghan stomach cold and hiccups/vomiting due to excessive consumption of cold medicines, preventing food intake: Renshen Tang (Ginseng Decoction).
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria, black skin removed), Fu Zi (Aconiti Lateralis Radix Praeparata, split by frying, skin and umbilicus removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, stir-fried, each 1 liang), Gui Zhi (Cinnamomi Ramulus, bark removed), Gan Jiang (Zingiberis Rhizoma, fried, each 0.5 liang), Ding Xiang (Caryophylli Flos, 1 fen).
The above eight herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted with 1.5 sheng of water, 0.5 fen of smashed Sheng Jiang (Zingiberis Rhizoma Recens), and half a spoonful of Jing Mi (Oryza Sativa Germen) until reduced to 1 sheng. Strain and take warm at any time.
Formula for treating persistent vomiting and hiccups in Shanghan where food cannot be swallowed: Huo Xiang Tang (Patchouli Decoction).
Ingredients: Huo Xiang Ye (Agastaches Herba, 1 liang), Ding Xiang (Caryophylli Flos), Bai Dou Kou (Amomi Fructus Rotundus, husked, each 1 fen), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, stir-fried), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, each 0.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water until reduced to 0.7 sheng. Strain and drink hot before meals.
Formula for treating post-Shanghan spleen and stomach deficiency-cold, with vomiting and hiccups and loss of appetite: Hou Po Tang (Magnolia Bark Decoction).
Ingredients: Hou Po (Magnoliae Officinalis Cortex, bark removed, fried with ginger juice), Ren Shen (Ginseng Radix et Rhizoma, each 1 liang), Pi Pa Ye (Eriobotryae Folium, fried and brushed to remove hairs), Rou Dou Kou (Myristicae Semen, husked, each 0.5 liang), Bai Fu Ling (Poria, black skin removed, 1.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to 0.7 sheng. Strain and take warm on an empty stomach and before meals.
Formula for treating persistent vomiting and hiccups in Shanghan with chest fullness and irritability: Huo Xiang Renshen Tang (Patchouli and Ginseng Decoction).
Ingredients: Huo Xiang Ye (Agastaches Herba, 0.3 fen), Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, each 0.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to 0.6 sheng. Strain and take warm at any time.
Formula for treating Shanghan after four or five days, with vomiting and hiccups accompanied by phlegm and chest-diaphragm discomfort: Renshen Wan (Ginseng Pill).
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex, bark removed, fried with ginger juice), Bai Fu Ling (Poria, black skin removed, each 1 liang), Ban Xia (Pinelliae Rhizoma, washed seven times in hot water, 2 liang).
The above four herbs are pounded and sifted into powder. Use ginger juice to make a paste with flour, form pills the size of paulownia seeds. Take 30 pills per dose, washed down with ginger soup.
Formula for treating Shanghan with frequent persistent vomiting and hiccups: Ding Qi San (Settling Qi Powder).
Ingredients: Gao Liang Jiang (Alpiniae Officinarum Rhizoma, 0.5 liang), Cao Dou Kou (Amomi Fructus, husked, one fruit), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Mu Xiang (Aucklandiae Radix, fried, each 1 fen).
The above four herbs are soaked in wine, wrapped in paper, and roasted until fragrant and cooked. Dry them, pound, and sift into a powder. Take 2 qian bi per dose, mixed with vinegar water.
Formula for treating Shanghan hiccups and vomiting due to erratic movement of deficient Qi: Tong Zheng San (Regulating Righteousness Powder).
Ingredients: Ding Xiang (Caryophylli Flos), Gan Shi Di (Dried Persimmon Calyx, each 1 liang), Lian Zi Rou (Nelumbinis Semen, fifty fruits, heart removed).
The above three herbs are pounded and sifted into a fine powder. Take 2 qian bi per dose, mixed with warm wine; rice water is also acceptable.
Formula for treating persistent vomiting and hiccups in Shanghan, or vomiting of sour fluid: Ding Xiang Tang (Clove Decoction).
Ingredients: Ding Xiang (Caryophylli Flos, 0.3 fen), Hou Po (Magnoliae Officinalis Cortex, bark removed, fried with ginger juice), Gan Jiang (Zingiberis Rhizoma, fried, each 1 liang), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, 1 fen).
The above four herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water until reduced to 0.5 sheng. Strain and take hot at any time. It also treats all types of cold qi-induced vomiting and counterflow.
Formula for treating persistent vomiting and hiccups in Shanghan: Shi Di Tang (Persimmon Calyx Decoction).
Ingredients: Gan Shi Di (Dried Persimmon Calyx, seven calyces), Bai Mei (White Plum, three fruits).
The above two herbs are coarsely crushed and sieved. Prepare as a single dose, decocted with 1 sheng of water until reduced to 0.5 sheng. Strain and take warm at any time.
Formula for treating persistent day-and-night vomiting and hiccups in Shanghan: Bi Cheng Qie Tang (Schlechtendalia Decoction).
Ingredients: Bi Cheng Qie (Schlechtendaliae Fructus), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, each 0.3 fen).
The above two herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water for about ten boils. Add a little vinegar, mix well, strain, and take hot at any time.
Formula for treating persistent vomiting and hiccups after recovery from Shanghan, due to residual heat remaining in the epigastrium: Zhu Ye Jia Sheng Jiang Tang (Bamboo Leaf plus Ginger Decoction).
Ingredients: Dan Zhu Ye (Lophatheri Herba, half a handful), Shi Gao (Gypsum Fibrosum, crushed, 4 liang), Ban Xia (Pinelliae Rhizoma, washed seven times in hot water, 0.3 fen), Mai Men Dong (Ophiopogonis Tuber, heart removed, dried, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Ren Shen (Ginseng Radix et Rhizoma, each 0.5 liang).
The above six herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted with 1.5 sheng of water, half a spoonful of Jing Mi (Oryza Sativa Germen), and 1 fen of sliced Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to 0.8 sheng. Strain and take warm.
Formula for treating vomiting and hiccups in Shanghan Shaoyin Syndrome: Si Ni Tang plus Sheng Jiang (Four Reversal Decoction plus Ginger).
Ingredients: Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, 1 liang), Gan Jiang (Zingiberis Rhizoma, fried, 0.3 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, split by frying, skin and umbilicus removed, half a piece), Sheng Jiang (Zingiberis Rhizoma Recens, cut and dried, 1.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted with 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm.
Formula for treating Shanghan spleen-stomach disharmony, vomiting and counterflow with alternating chills and fever, to harmonize Qi: Wu Ji San (Five Accumulations Powder).
Ingredients: Cang Zhu (Atractylodis Rhizoma, 20 liang), Jie Geng (Platycodonis Radix, cut and stir-fried, 10 liang), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 6 liang), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, each 3 liang), Dang Gui (Angelicae Sinensis Radix, cut and dried, 2 liang), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1.5 liang), Shao Yao (Paeoniae Radix Alba), Bai Fu Ling (Poria, black skin removed), Ban Xia (Pinelliae Rhizoma, washed seven times in hot water, each 1 liang), Ma Huang (Ephedrae Herba, roots and joints removed, 2 liang in spring/summer, 3 liang in autumn/winter), Gan Jiang (Zingiberis Rhizoma, fried, 1.5 liang in spring/summer, 2 liang in autumn/winter), Zhi Ke (Aurantii Frictus, bran-fried, pith removed, 4 liang; the following three items processed separately), Gui Zhi (Cinnamomi Ramulus, bark removed, 3 liang in spring/summer, 4 liang in autumn/winter), Hou Po (Magnoliae Officinalis Cortex, bark removed, fried with ginger juice, 2 liang).
Of the fifteen herbs, the first twelve are coarsely crushed and sieved, divided into six portions, and lightly stir-fried in a large pot over low heat until fragrant and cooked, being careful not to burn. Remove onto a clean wooden board to cool. Add the last three herbs and mix to harmonize Qi. Each dose consists of 3 qian bi, decocted with 1 sheng of water and ginger/jujube until reduced to 0.6 sheng. Strain and take warm. For Shanghan with cold extremities, unceasing deficiency sweating, deep and thin pulse, cyanotic complexion, and vomiting/counterflow, add 1 qian bi of Shun Yuan San, decoct together and take hot. For postpartum women with delayed menstruation (two to three days), retained dead fetus, exhaustion of Qi and blood, or dry birth canal, add Shun Yuan San, decoct with 0.7 parts water and 0.3 parts wine, take consecutively twice; once Qi and blood harmonize, delivery occurs. For retained dead fetus, expulsion occurs within no more than three doses. The dosage of Shun Yuan San should be adjusted according to the deficiency or excess of the parturient woman. In Shanghan... [text cuts off]
Formula for treating Shanghan vomiting and hiccups with cold pain in the heart and abdomen, and undissipated rebellious phlegm: Gao Liang Jiang Tang (Galangal Decoction).
Ingredients: Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, each 0.5 liang), Gui Zhi (Cinnamomi Ramulus, bark removed), Ban Xia (Pinelliae Rhizoma, washed seven times in hot water, stir-fried yellow, each 1 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with 1 sheng of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to 0.5 sheng. Strain and take warm before meals. It also treats all types of cold qi-induced heart and abdominal pain.